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Guidance for Postpartum Mother’s Health and Appearance

26 Feb 2024

By: Aileen Chua

Article, Blog, Physician Chua 蔡医师, Pregnancy, TCM Food

by Physician Aileen Chua Goal: The goal for postpartum recovery is to ensure that the body goes back to the pre-pregnancy state, or even better. The womb has provided all of its nutrients to the baby and we need to replenish the loss. The body is “empty” and we need to fill it up. During this time, we have to work on replenishing Qi and blood, prevent wind from entering the body, maintain circulation, remove water retention, strengthen the bones and muscles and take care of the mental wellbeing of the mother. Motherhood can be physically and mentally taxing, and this is the golden period to brace the body for it. This postpartum recovery can last between 28 days to 3 months, you can choose how long you want to adhere to the postpartum recovery routine for. /*! elementor - v3.22.0 - 17-06-2024 */ .elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#0c0d0e;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider .elementor-divider{display:flex}.elementor-widget-divider .elementor-divider__text{font-size:15px;line-height:1;max-width:95%}.elementor-widget-divider .elementor-divider__element{margin:0 var(--divider-element-spacing);flex-shrink:0}.elementor-widget-divider .elementor-icon{font-size:var(--divider-icon-size)}.elementor-widget-divider .elementor-divider-separator{display:flex;margin:0;direction:ltr}.elementor-widget-divider--view-line_icon .elementor-divider-separator,.elementor-widget-divider--view-line_text .elementor-divider-separator{align-items:center}.elementor-widget-divider--view-line_icon .elementor-divider-separator:after,.elementor-widget-divider--view-line_icon .elementor-divider-separator:before,.elementor-widget-divider--view-line_text .elementor-divider-separator:after,.elementor-widget-divider--view-line_text .elementor-divider-separator:before{display:block;content:"";border-block-end:0;flex-grow:1;border-block-start:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--element-align-left .elementor-divider .elementor-divider-separator>.elementor-divider__svg:first-of-type{flex-grow:0;flex-shrink:100}.elementor-widget-divider--element-align-left .elementor-divider-separator:before{content:none}.elementor-widget-divider--element-align-left .elementor-divider__element{margin-left:0}.elementor-widget-divider--element-align-right .elementor-divider .elementor-divider-separator>.elementor-divider__svg:last-of-type{flex-grow:0;flex-shrink:100}.elementor-widget-divider--element-align-right .elementor-divider-separator:after{content:none}.elementor-widget-divider--element-align-right .elementor-divider__element{margin-right:0}.elementor-widget-divider--element-align-start .elementor-divider .elementor-divider-separator>.elementor-divider__svg:first-of-type{flex-grow:0;flex-shrink:100}.elementor-widget-divider--element-align-start .elementor-divider-separator:before{content:none}.elementor-widget-divider--element-align-start .elementor-divider__element{margin-inline-start:0}.elementor-widget-divider--element-align-end .elementor-divider .elementor-divider-separator>.elementor-divider__svg:last-of-type{flex-grow:0;flex-shrink:100}.elementor-widget-divider--element-align-end .elementor-divider-separator:after{content:none}.elementor-widget-divider--element-align-end .elementor-divider__element{margin-inline-end:0}.elementor-widget-divider:not(.elementor-widget-divider--view-line_text):not(.elementor-widget-divider--view-line_icon) .elementor-divider-separator{border-block-start:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--separator-type-pattern{--divider-border-style:none}.elementor-widget-divider--separator-type-pattern.elementor-widget-divider--view-line .elementor-divider-separator,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:after,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:before,.elementor-widget-divider--separator-type-pattern:not([class*=elementor-widget-divider--view]) .elementor-divider-separator{width:100%;min-height:var(--divider-pattern-height);-webkit-mask-size:var(--divider-pattern-size) 100%;mask-size:var(--divider-pattern-size) 100%;-webkit-mask-repeat:var(--divider-pattern-repeat);mask-repeat:var(--divider-pattern-repeat);background-color:var(--divider-color);-webkit-mask-image:var(--divider-pattern-url);mask-image:var(--divider-pattern-url)}.elementor-widget-divider--no-spacing{--divider-pattern-size:auto}.elementor-widget-divider--bg-round{--divider-pattern-repeat:round}.rtl .elementor-widget-divider .elementor-divider__text{direction:rtl}.e-con-inner>.elementor-widget-divider,.e-con>.elementor-widget-divider{width:var(--container-widget-width,100%);--flex-grow:var(--container-widget-flex-grow)} Common Postpartum Problems Emotions Fatigue Pain from delivery Breastmilk supply or Engorgement Heatiness Weight loss Food to take for Postpartum Recovery To take food and herbs that help with the following: 1. Remove clots to clear the womb2. Remove water retention3. Help with wound recovery4. Ensure good blood circulation 5. Replenish the nutrients 6. Warm the womb 7. Remove “wind” from the body8. Increase flow of breastmilk, as well as maintain good flow of the breast milk to prevent painful engorgement. /*! elementor - v3.22.0 - 17-06-2024 */ .elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px} For womb and general health recovery: 1. Ginger (Bentong Ginger)2. Turmeric (Can add turmeric powder to a warm cup of milk)3. Sesame Oil4. Black Vinegar5. Rice Wine6. D.O.M Benedictine (in moderation, 1-2times a week) To increase breastmilk supply and replenish nutrients for the postpartum body: Green Papaya Fish (Salmon, Cod Fish, Threadfin) Meat (Black chicken, lean pork meat, beef, pork liver and kidney) Oats Almonds & Sesame seeds Dark green vegetables or spinach, broccoli, green peas, black beans, red beans Herbal soups with meat General Herbs for Postpartum Recovery Week 1: Focus on blood circulation to help with clearing the womb and water retention Help with the production of breastmilk Nourish the digestive system to improve appetite to help replenish nutrients lost Herbs: 生化汤、四神汤、麦芽 Week 2: Focus on replenishing Qi and Blood Continue to nourish the digestive system Continue to help production of breast milk, at the same time help with the smooth flow of milk Herbs: 八珍汤、四神汤、麦芽 Week 3 & 4: Same as Week 2 Work on nourishing the kidneys and rejuvenate the reproductive system To strengthen the lower back, bones and muscles Herbs: 八珍汤、四神汤、杜仲、泡参、花胶 Daily Herbal Tea usually includes: Red dates 红枣 Longan 龙眼肉 Wolfberries 枸杞子 Codonopsis Radix 党参 Drink throughout the day, supplement with warm water if you feel heaty or thirsty easily.   If you need a set of herbs specially tailored to your individual body constitution, feel free to drop by our clinics for a consultation with any of our physicians from Week 34 onwards! 🙂 Self Care Services to Engage in: Confinement nanny: Nanny to help to look after your newborn while you recuperate, so that you can rest properly for this period and only have to focus on breastfeeding (pumping/latching), sleeping, getting used to motherhood and regulating the emotions. Postpartum massage: Helps with increasing milk supply, prevents engorgement, reduces water retention, helps the uterus contract back to its original size, reduces muscles tensions. Emotionally: You might feel very emotional due to the changes your body is going through, many focus on how labour is going to be, but there is very little information about how you will feel after the delivery. Breastfeeding can be painful and stressful too. Engorgement and low milk supply each has its own set of problems. You can be constantly tired due to the feeding and interrupted sleep, the body will also naturally feel more tired after going through so much, from pregnancy to delivery. There might be postpartum pain lasting 1-2 weeks. For mummies who went through C-Sec, the pain might last longer. You are constantly feeling hot and sticky, and maybe smelly, all these might make you feel just lousy about yourself. Rest as much as you can when possible, try to outsource for help as much as you can. Focus on your recovery and feeding the baby. If you are feeling down all the time, it would be good to seek professional help. In terms of TCM, acupuncture and cupping can help with postpartum blues by relieving tension, helping with sleep and calming the body. Physically: Shower (herbal bath to help remove wind and warm the body, you can wash your hair once every 1-3 days but wash in the day and blow dry immediately). Wear long pants and slippers at home to keep warm and prevent cold, wind and dampness from entering the weakened body. Avoid being in direct contact of wind, because the pores are open during confinement and the body is deficient in Qi & blood, which makes wind, dampness and cold easy to enter the body, resulting in aches, skin allergies etc. in the long run. Pelvic floor exercises to strengthen the pelvic floor. This helps prevent postpartum incontinence or frequent urination.
Role of TCM in easing pregnancy discomfort

02 Feb 2024

By: Sheryl Tay

Article, Acupuncture, Blog, Physician Tay 郑医师, Pregnancy

Easing Pregnancy Discomfort with Acupuncture Discover the holistic benefits of Traditional Chinese Medicine (TCM) throughout your pregnancy journey and beyond! TCM treatments aren’t just effective for improving fertility; they can also complement Western medicine, enhancing the chances of conception and supporting women through every stage of pregnancy and postpartum. Experience the natural relief TCM offers for common pregnancy discomforts and symptoms, providing a safe alternative to medications often contraindicated during pregnancy. Embrace the miraculous journey of pregnancy with TCM’s gentle and holistic approach, promoting maternal well-being and nurturing both mother and baby. Here’s how TCM can assist you:Alleviating Discomfort: While it is common to experience symptoms during pregnancy, it may be helpful to seek TCM treatments when it becomes too uncomfortable for you to ensure a more comfortable and happy pregnancy. TCM emphasizes the balance of vital energy (Qi) and blood circulation. Acupuncture and herbal medicine are usually prescribed to optimize these essential elements, promoting a harmonious environment for both you and your baby, thereby relieving the discomfort experienced during pregnancy. Common pregnancy symptoms include:Morning sicknessAcupuncture and herbal medication are effective ways to help relieve nausea vomiting Home tips to help relieve morning sickness: Massaging acupoint 内关 1-2 minutes every day helps to relieve nausea. Drinking ginger tea can also help alleviate some discomfort due to morning sickness. More severe cases of nausea vomiting, would require a consultation with a physician to diagnose your body constitution and prescribe acupuncture and/or herbal medication to treat. Common body constitution in ladies with morning sickness: ConstipationConstipation is described as infrequent bowel movements or difficulty in removing bowels. It has been estimated that approximately 11% to 38% of pregnant women experience constipation.  Pregnancy predisposes women to developing constipation due to physiologic and anatomic changes in the gastrointestinal tract. There is increased water absorption from the intestines, which causes stool to dry out. Decreased maternal activity and increased vitamin supplementation (eg, iron and calcium) can further contribute to constipation. Acupuncture can effectively re-regulate bowel movements by helping to get the circulation flowing again and bringing moisture to the area if needed. Acupuncture treatment can help open blockages, stimulate peristalsis, and bring on a bowel movement. Massaging 支沟 acupoint 1-2 minutes daily could help with pregnancy constipation. Insomnia and fatigueInsomnia describes the difficulty in falling asleep and not having restful sleep. A study done suggested that an average of 45.7% pregnant women suffer from poor quality of sleep. Sleep problems and changes in sleep patterns start during the first trimester of pregnancy, most likely influenced by the rapid changes in reproductive hormone levels. Sleep during the first trimester is also disturbed due to nausea or vomiting. In the third trimester, sleep disturbances are due to general discomfort caused by backache, urinary frequency, fetal movements, GERD (Gastroesophageal reflux disease) and leg discomfort. Poor sleep translates to daytime effects including hypersomnia, fatigue and mood changes. Studies have shown that acupuncture can significantly improve the sleep quality in pregnant women, possibly through increasing melatonin secretion, and could be recommended as a low-risk alternative treatment to pharmacological therapies. Massaging 百会 acupoint could help with pregnancy insomnia. PainAcupuncture provides effective support for patients experiencing aches and pains, be it headaches, bodily aches such as neck pains and backaches. Pregnancy could be uncomfortable and experiencing aches and pain could worsen quality of life and daily functioning of pregnant ladies. Acupuncture is considered as a safe, non-pharmacological treatment option that is being increasingly used to provide relief from discomfort during the pregnancy. Acupuncture done by a licensed physician is safe. The physician would avoid some acupuncture points which are contraindicated for pregnant ladies Support pregnancy: TCM treatment after conception can help support the embryo’s attachment and reduce the risk of miscarriage. It can also reduce stress and anxiety, which can positively impact the success of the pregnancy.Supporting Mental and Emotional Well-being: Pregnancy often comes with a range of emotions. TCM takes into account the mind-body connection, offering treatments that help manage stress, anxiety, and mood swings. A more positive pregnancy experience may positively impact the baby’s development.Preparing for Labor: TCM can play a vital role in preparing your body for labor. Our physicians can provide guidance on exercises, dietary adjustments, and herbal support tailored to your specific needs.Even though TCM has its benefits, it is important to note that it should not substitute Western medical care during your pregnancy. It can provide complementary care, but it is vital to visit your gynaecologist regularly to monitor the progress of your pregnancy. Pregnancy can bring about various changes in your body, and TCM offers a holistic approach to address these changes naturally. Our experienced TCM physicians specialize in providing personalized care to expectant mothers, focusing on enhancing overall well-being and promoting a healthy pregnancy.
Traditional Chinese Medicine (TCM) in Assisting In-Vitro Fertilization (IVF)

05 Jan 2024

By: Sheryl Tay

Article, Acupuncture, Blog, Fertility, IVF, Physician Tay 郑医师, Pregnancy

In recent years, the integration of Traditional Chinese Medicine (TCM) with Western medical practices has gained significant attention, one notable application is the complementary role TCM plays in enhancing the outcomes of In-Vitro Fertilization (IVF). As more couples seek fertility treatments, the holistic approach of TCM is increasingly gaining popularity and getting recognized for its ability to support and optimize the IVF process.IVF is a type of fertility treatment where sperm and an egg are fertilized outside of the human body. Several days after fertilization, the fertilized egg (embryo) is placed inside the uterus. Pregnancy occurs when the embryo implants into the uterine wall. It’s a procedure used to aid in achieving pregnancy conception in individuals who are having difficulty doing so spontaneously. IVF involves many complex steps and is an effective form of assisted reproductive technology (ART). https://yitcm.com.sg/wp-content/uploads/2024/02/ivf.mp4A competent embryo and receptive uterus are two critical components for a successful implantation and therefore successful conception. TCM is shown to be a useful complementary tool to support IVF procedures and increase success rates. How does TCM support IVF? Optimising womb environmentTCM practitioners focus on promoting a balanced flow of Qi and enhancing blood circulation throughout the body, especially to the reproductive organs. Improved blood flow helps nourish the ovaries and uterus, creating a more conducive environment for successful embryo implantation[1]. TCM herbs and acupuncture can also help improve uterine lining thickness, as well as to increase endometrium receptivity (the ability of the endometrium to accept embryos) [2]. Enhancing Egg Quality and Sperm HealthImproving the quality of egg and sperm is crucial for successful fertilisation and the development of a good quality embryo. This can therefore increase the chances of conception [3].  Kidneys in TCM govern the reproductive system. Hence, by invigorating the kidneys is one of the ways to improve egg quality as well as sperm quality. Increasing blood circulation throughout the body also enhances the blood circulation to the ovaries and testes, thereby nourishing the eggs and sperm with good oxygen and blood flow, hence enhancing the quality of eggs and sperm.Reducing inflammation and stress also plays a part in improving the quality of egg and sperm, hence increasing the chances of a successful pregnancy. Reducing Stress:The process of IVF can be emotionally and physically taxing, involving hormonal treatments, invasive procedures, and the emotional rollercoaster of hope and disappointment. This stress may further exacerbate the challenges of infertility. Some researchers suggest that a patient’s mental and physical health can influence the success rate of IVF. TCM, through acupuncture and herbal medication, helps reduce stress levels, promoting a more favorable environment for successful IVF. Stress management can also positively impact the hormonal balance and improve the chances of conception. Minimising Side Effects of IVF Medications:The medications used in IVF procedures can sometimes cause side effects such as bloating, hot flushes, irritability, headaches etc. TCM interventions can help alleviate these side effects, promoting the overall well-being of the individual undergoing IVF [4]. Supporting Implantation and Pregnancy:TCM treatment before and after embryo transfer can help prepare the uterus for implantation and support the embryo’s attachment and reduce the risk of miscarriage. It can also reduce stress and anxiety, which can positively impact the success of the transfer.   It is recommend to start receiving TCM treatments three months before going through IVF. This gives the TCM physician a chance to assess and adjust the underlying body constitution to improve fertility and increase chances of conceiving. However, if you have already started on drug stimulations, your TCM practitioner will schedule your treatments in line with your IVF procedure schedule. The image below is a rough timeline of the acupuncture sessions in preparation for and during IVF treatment. TCM Treatment modalities in supporting IVF 1. Acupuncture Acupuncture is the insertion of fine needles into the body at specific points called “acupoints”. Acupuncture points are believed to stimulate the central nervous system. This, in turn, releases chemicals into the brain. These biochemical changes may stimulate the body’s natural healing abilities and promote physical and emotional well-being.    Therapeutic effects of acupuncture: Remote therapeutic effect of acupuncture: Infertility is due to imbalances in the organ systems in the body e.g. the kidney, liver and spleen. Therefore, via Remote Therapeutic Effect of acupuncture, by stimulating the acupoints located along the meridian channels governed by the respective organ system, it helps to rebalance the organ system, facilitating natural healing mechanisms, thereby improving fertility.   Systemic Therapeutic Effect of acupuncture: It is known that TCM can help to improve blood circulation, be it to the womb, ovaries or testes. Therefore, via Systemic Therapeutic Effect of acupuncture, some acupoints are known to have “unique” functions such as to improve “blood” (血海 SP10 acupoint), regulate menstruation(三阴交 SP6 acupoint), improve “qi” (足三里 ST 36acupoint),  etc, thereby contributing to increasing chances of conceiving. 2. Herbal medicationHerbal medication will be prescribed according to the individual’s body constitution, restoring the body’s imbalances thereby improving fertility. A licensed TCM Physician would first consult the patient to understand and diagnose their body constitution, before prescribing herbal medication which can help to improve the quality of eggs or sperms, to increase the thickness and quality of endometrium lining, to improve uterine environment etc.Secondly, some may experience stress and anxiety. Herbal medication could help manage stress, anxiety, and mood swings. Furthermore some may experience side effects of going through IVF. Herbal prescription could also be prescribed to aid the patient in having a better experience going through IVF.Do note to consult a licensed physician and always check with the physician before taking any herbal supplements or medicine. 3. MoxibustionInvolves the burning of the herb mugwort (艾草), the effects of mugwort would penetrate through the skin and into the body. Mugwort is used due to its warming properties. Secondly, due to its abilities to dispel dampness, eliminate stagnation, dissolve stasis, thereby improving blood circulation in the body. Moxibustion for fertility would usually be done on the lower abdomen or on the lower back. References:[1] Chen Q., Hau C. Impacts on pregnancy outcome treated with acupuncture and moxibustion in IVF-ET patients. Zhongguo Zhen Jiu . 2015;35(4):313–317.[2] Jin F, Ruan X, Qin S, Xu X, Yang Y, Gu M, Li Y, Cheng J, Du J, Yin X, Mueck AO. Traditional Chinese medicine Dingkun pill to increase fertility in women with a thin endometrium-a prospective randomized study. Front Endocrinol (Lausanne). 2023 Sep 28;14:1168175.[3] Zhou L., Xia Y., Ma X., et al. Effects of menstrual cycle-based acupuncture therapy on IVF-ET in patients with decline in ovarian reserve. Zhongguo Zhen Jiu . 2016;36(1):25–28[4] Altutunji A. Z., Liu L., Cai J., Wang Z., Gao Y. The effect of acupuncture on anti-mullerian hormone and assisted reproduction outcome in Polycystic Ovary Syndrome patients undergoing in vitro fertilization. JPMA. The Journal of the Pakistan Medical Association . 2019;69(Suppl 3)(8):S4–S8
TCM Perspective on Foods to Avoid during Pregnancy

13 Jun 2023

By: Aileen Chua

Article, Physician Chua 蔡医师, Pregnancy, TCM Food

by Physician Aileen Chua Congratulations on your pregnancy! Now that you have a new life growing in you, naturally you would be more careful on what foods to avoid, especially for first time mums. Most of us know that we have to avoid raw and undercooked meat, unpasteurized soft cheese and seafood high in mercury during pregnancy. But are there other foods we need to avoid?  In TCM, we believe that a warm and nutritious womb helps with the growth of your baby. Different body constitution can lead to different discomfort during pregnancy. And that during pregnancy, foods that increase circulation should be avoided. Hence, I have compiled a list of foods to avoid or take in moderation during pregnancy based on the TCM perspective. I hope this can help you with your pregnancy journey 🙂  1) Avoid foods that are cooling in nature Avoid foods that are cooling in nature, especially during the first trimester (12 weeks of pregnancy) as this is the time when the main organs of your baby are forming. Vegetables that are cold in nature are more cooling when cooked in soup than when you pan fry them. Hence, if you really have a craving for any of these vegetables, you can pan fry them with ginger and sesame oil to reduce their cooling nature. For the fruits listed, if you want to eat them, have them in the daytime, and after meals, to reduce the cold effect on your body. 2) Avoid foods that cause bloating Avoid foods that cause bloating, especially in the first trimester. Ladies who have a weak digestive system tend to experience nausea or bloating when they are pregnant, especially in the first trimester. Hence, it is important to know which foods can cause bloating so that you can avoid them. Not all of the food listed below will affect you, different food might affect different people. So observe how your body reacts to different foods and eliminate them accordingly. 3) Avoid foods that are high in sugar and fats Avoid foods that are high in sugar and fats. During pregnancy, you might feel hungry all the time, or have cravings for all sorts of food. While it is a natural instinct to fill your tummy and to get your cravings satisfied, it is also important to eat healthily and watch the calories intake. Foods high in sugar and fats can lead to unhealthy weight gain, which might lead to gestational diabetes or having an oversized baby which can make labour tougher. Avoid these foods especially in the second and third trimester, as this is when most of the weight is gained. 4) Avoid foods that increase circulation Avoid foods that increase circulation from the beginning of the pregnancy till week 36, as it could increase the risk of uterus contraction and bleeding. 5) Take in moderation foods high in Vitamin K Take in moderation foods high in Vitamin K throughout the pregnancy, as it might affect blood supply to the baby. This applies especially to ladies who used to have sticky blood during their period, or whose babies are growing at a slower rate, or are taking aspirin during the pregnancy.